Individual provider · Type 1 NPI

Boubacar Bah

Psychiatric/Mental Health Nurse Practitioner · Brookfield, WI

NPI number 1497467401 Active

Practice location

18740 W Bluemound Rd
Brookfield, WI 53045-2936

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X17303-33 (WI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209.026536 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1497467401

Boubacar Bah's National Provider Identifier is 1497467401, issued on Dec 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brookfield, WI. The record was last updated on Oct 20, 2025.